Form (#9766)
Full Name
Phone Number
Email
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Your Message
Yes, I would like to be considered for relocation assistance.
By selecting this option, I authorize Certified Safe Movers Association, the participating moving company, and/or their authorized representatives to provide my name, telephone number, email address, move dates, origin and destination locations, estimated or final moving cost, and moving-company information to His Vessel Ministry for the limited purpose of evaluating my eligibility for relocation assistance.
I understand that additional financial, hardship, household, or supporting documentation may be requested directly by His Vessel Ministry before an eligibility decision is made.
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